Hurricane “e” Rave, Club, and Party Drugs Fall 2001 Update

1. Hurricane “e”Rave, Club, and Party DrugsFall 2001 Update Jim Hall Up Front Drug Information Center Miami, Florida

2. is many drugs!

3. Rave and Club Drugs • MDMA (“ecstasy” or “e”) • LSD • GHB, GBL, and 1,4BDL • Rohypnol, Xanax, Clonopin • Ketamine (Special K) • Methamphetamine • Heroin • Alcohol Uppers in Red Downers in Blue

4. LSD • Slang terms--Acid, Blotter, or name of picture on tab. • Is a small paper square with picture or jello-like square tab. • Desired Effects--distortion of senses, introspection. • Adverse Effects--anxiety, panic reaction, or “Bad Trip.”

5. Mentions of LSD in DAWN Emergency Room Reports Nationwide: 1992-1999

6. Pills PILLSPillsTrillsKills Pills Pills Pills Pills Pills Pills Pills

7. Heroin is at the eye of the storm!

8. RAVES • No longer underground—”Massives” • Dancing—group dancing, “best moves”, glow sticks • Communality—tribes or crews, Peace, Love, Unity & Respect (PLUR) • Sexuality (or lack of) • Violence (lack of) • Race and class

9. Chill Rooms • Alcohol not commonly consumed • Ecstasy—1-2 pills/night by users • DanceSafe pill testing • Attendance by pre-teens and young teenagers • “E-tards”, “Candies”, “Cracked Out” • Is it music or drugs?

11. Not just for Raves and Clubs; now at home parties, school, and work.

12. Liquid Xon the Internet Surveillance and Observed Trends for GHB Abuse

15. GHB Quick-Check • Gamma hydroxybutrate. • Central Nervous System depressant-- intoxication, then deep sedation. • GBL and 1,4, butanediol turn into GHB when swallowed. • Failure to seek medical attention has led to deaths. • Much greater danger if mixed with alcohol or taken on empty stomach. • Now Schedule I Controlled Substance

16. GHB, GBL, et al • GBL (GHB precursor)--Fire Water, Revivarant, Revivarent G, RenewTrient, GH Revitalizer, GH Release, Gamma-G, InvigorateX-Depress, Furomax, Insom-X, Blue Nitro. • 1,4 butanediol (tetramethylene glycol)--Revitalize Plus, Serenity, Enliven, GHRE, SomatoPro, NRG3, Weight Belt Cleaner, Thunder Nectar (pink, no label).

17. GHB Medical Emergenciesand Consequences Uga-cha-ka Source: SAMHSA-OAS, Year-End 2000 Emergency Dept. Data Drug Abuse Warning Network

18. South Florida GHBPoison Center Calls Rapid demographic shift in age 50 Under 20 40 Over 20 30 # GHB Emergencies 20 10 0 1Q97 3Q97 1Q99 1Q96 3Q96 1Q98 3Q98

19. Co$t of GHB • Texas • $500 per gallon and $15-$20 per ounce • Miami/Ft. Lauderdale • $2,000 for 700 bottles (8 oz) • Minneapolis/St. Paul • $10 per thimble “swig”

20. 4 Liter Jug of 1,4 BD

21. Scheduling of GHBand Drug- Rape Awareness GHB Banned as Schedule I Controlled Substance March 13, 2000

22. GHB Detox Protocol www.tcada.state.tx.us/research/GHB_Withdrawal.pdf

23. ·Regulations on dietary supplements relaxed in 1990s ·First drug widely sold on the Internet ·Low cost of precursors and high profit of GHB products ·Analogs and esters have replaced GHB after it became Schedule I ·Need toupdated State Controlled Substance Analog laws GHB Availability Rising

24. Rohypnol & Clonopin • Rohypnol--roches, ropies, roofies. • Clonopin--Rivotril, Pins. • Rohypnol can no longer be imported legally from Mexico but Klonopin can. • Desired Effects--Intoxication, especially when mixed with alcohol. • Adverse Effects--Respiratory distress, amnesia, sexual assault.

25. ROHYPNOL in TEXAS • Cohorts who first used now in treatment—68% of adult & 89% of youth in treatment are on border. • Blue Rohypnol pills popular—need fruit drinks to cover the dye.

26. % Texas Secondary Students Who Had Ever Used Rohypnol, by Grade: 2000

27. NEXUS • 4-bromo-2, 5-dimethoxyphenylalamine. • “Bromo”, “2C-B”, “Toonies”, “Smart Drug”. • Sold in capsules or snorted. • Stimulant & hallucinogenic properties that are dose dependent-range from effects like MDMA to LSD-type hallucinations. • Available in adult bookstores, bars, dance clubs.

28. What are they seeking?

29. Dissociation The K Hole Detachment

30. DISSOCIATIVE DRUGS: PCP, Ketamine, DXM Distort perceptions of sight and sound and produce feelings of detachment, but not hallucinations.

31. Phencyclidine • PCP, Angel Dust, Killer Weed • Swallowed, sniffed, smoked, dissolved in embalming fluid (“Fry”). • Veterinary anesthetic. • Unpredictable. Can act as stimulant, depressant or hallucinogen. Can cause mood swings, agitation, violent behavior.

32. FRY, AMP, WATER-WATER • Embalming fluid–like hallucinogens: brilliant, unique colors, distorted vision. • Different behaviors–intensifies innate personality v. strange or violent behavior. • PCP found in one sample analyzed. • Stolen from morgues and funeral homes. • Brain damage? Like long-term inhalant abuser.

33. SPECIAL K (Ketamine) • Veterinary anesthetic with hallucinogenic properties like PCP. • Available as powder to snort or as liquid to inject; used with “puffers” to get exact dosing. • Desired Effects--Stimulation, dis-orientation, hallucinations, disassociation. • Adverse effects--High blood pressure, respiratory failure.

34. Mentions of Ketamine in DAWN Emergency Room Reports Nationwide: 1994-1999

35. What is DxM? Dextromethorphanis a psychoactive drug found in common over the counter cough medicines. Source: www.http:third-plateau.lycaeum.org/beginner/index.html

36. DxM • “Robotrip” – high dosages can produce hallucinogenic effects • Part of family of psychoactive compounds called “dissociative anesthetics.” • Marked by ability to dissociate the mind from the body. • Some effects have been described as similar to those of ketamine (Special K) and PCP. Source: www.http:third-plateau.lycaeum.org/beginner/index.html

37. DxM The DxM experience is described as occurring on levels, or plateaus depending on the amount of the dose taken. • Each plateau is different from another. There are 4 major plateaus + a 5th one that is generally unpleasant and involves a possible trip to the hospital Source: www.http:third-plateau.lycaeum.org/beginner/index.html

38. DxM induced artwork Source: www.http:third-plateau.lycaeum.org/creativity/index.html

39. Best Website Best Website www.clubdrugs.org Links to National Institute on Drug Abuse of the NIH

40. The Institute for the Prevention and Prosecution of Drug-Rape IP2DR

41. Get It • Awareness • Education • Knowledge • Attitudes • Changing Norms

42. Watch Out for it Watch out for your drink, Watch out for your friends. Watch out for your customers • Prevention • Precautions • Protection • Surveillance

43. StopIt • Care for victims • Counseling • Enforcement • Enact special penalties • Prosecution Men who rape, Get it in prison

44. The Institute for the Prevention and Prosecution of Drug-Rape IP2DR StopDrugRape@yahoo.com

45. Heroin is at the eye of the storm!

46. Heroin Heroin For the Rest of Your Life

47. Heroin Problems Up 1998 Miami DMP Samples Southwest Asian 2.1 % Pure Southeast Asian 2.3 % Pure South American 19.2 % Pure Ages Down

48. Sources of Heroin Seized in US Based on Net Weight DEA Heroin Signature Program

49. Average Purity of Heroin in the US: 1981-1999

50. Average Price of Heroin in the US: 1981-1999 Source: DEA STRIDE System